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ADVANCED MASSAGE HEALTHCARE INC. NPI 1669692117


NPI Information

NPI: 1669692117
Provider Name: ADVANCED MASSAGE HEALTHCARE, INC.
Classification: Massage Therapist - 225700000X
Entity Type: Organization

CLIA Number: 28D2171445

Address:
3601 CALVERT ST
34
LINCOLN, NE
ZIP 68506
Phone: (402) 423-2643
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ADVANCED MASSAGE HEALTHCARE, INC. is a massage therapist in Lincoln, NE. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. ADVANCED MASSAGE HEALTHCARE, INC. NPI is 1669692117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3601 CALVERT ST
34
LINCOLN, NE
ZIP 68506-797
Phone: (402) 423-2643
Fax: (402) 423-2644

The provider's authorized official is Bradley Dean Decker .
The authorized official title is Owner and has the following contact phone number (402) 423-2643.

The CLIA number assigned to this NPI record is 28D2171445 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 8/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist1234NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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